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Wisconsin's Health Professions Loan Assistance Program

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General Overview of the state loan repayment program for health care professionals serving 3 years in an underserved area in Wisconsin.

General Overview of the state loan repayment program for health care professionals serving 3 years in an underserved area in Wisconsin.

See www.worh.org for more details.

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Wisconsin's Health Professions Loan Assistance Program Presentation Transcript

  • 1. Wisconsin’s Health Professions Loan Assistance Program
    Presentation to the Legislative Council Study Committee Review of Higher Education Financial Aid Programs
    October 7, 2010
    John Eich
    Wisconsin Office of Rural Health
  • 2. Wisconsin Office of Rural Health
    • Federally created and funded program; one in each state
    • 3. Located in the UW School of Medicine and Public Health
    • 4. Started in 1975
    • 5. “We seek to improve the access to, and quality of, rural healthcare.”
  • Health Professions Loan Assistance Program
    • Created in 1989 to address workforce shortages in underserved rural and urban communities
    • 6. Repays educational loans in return for three years of service in an underserved area
    • 7. Study: Loan repayment programs result in higher service completion rates and longer retention after obligations completed, compared to other financial support for service programs
  • HPLAP Eligibility Criteria
    • Physician (MD or DO), Nurse Practitioner, Physician Assistant, Nurse Midwife providing primary, pediatric or obstetric care
    • 8. Dentist or Dental Hygienist practicing general or pediatric dentistry
    • 9. Psychiatrist
    • 10. Working full time in a Health Professional Shortage Area, a federally qualified health center or tribal health center
  • Health Professional Shortage Areas
    Federal designation based on data provided by the Wisconsin Department of Health Services
    Designation based on:
    • Population : Provider Ratio
    • 11. Poverty level
    • 12. Distance to nearest provider
    • 13. Specific need factors (high % elderly, alcohol use, etc.)
    The majority are rural.
  • 14. Award Selection Criteria
    Competitive program; applications ranked by independent review committee
    Review criteria:
    • HPSA score
    • 15. Likelihood of retention
    • 16. Loan balance
    • 17. Service provision to patients on medical assistance
    • 18. Community per capita income
    • 19. Length of service
    • 20. Geographic distribution of awards
    • 21. Community and employer support
  • Primary Care Shortage Areas
    600,305 residents (11%) live in 118 Primary Care Shortage Areas
    268 providers needed to achieve federal target ratios
    Identified by the HRSA Office of Shortage Designation.
    HRSA’s target population/provider ratios are 2,000:1 for Primary Care, 3,000:1 for Dental and 10,000:1 for Mental Health
  • 22. Dental
    Shortage Areas
    450,621 Residents (8%) live in 76 Dental Shortage Areas
    134 Providers needed to achieve federal target ratios
  • 23. Mental Health
    Shortage Areas
    1,841,376 residents (33%) live in 111 Mental Health Shortage Areas
    158 providers needed to achieve federal target ratios
  • 24. Future Need for Providers
    Wisconsin’s rural
    population will
    become increasingly
    elderly, with greater
    health care needs
  • 25. Current Physician Openings*at ORH Recruitment Program
    Family Medicine 78 50 rural 27 HPSA
    Internal Med 40 22 rural 11 HPSA
    Pediatric Med 7 3 rural 0 HPSA
    Ob/Gyn 11 5 rural 1 HPSA
    “Rural” is defined as a 4 or greater coding on the Rural-Urban Commuting Area scale.
    * “Openings” are available jobs, which is not the same as “Need” – HPSA formulas are better assessments of that.
  • 26. HPLAP Awards
    • Physicians, Dentists: $50,000 or 75% of outstanding education loan debt
    • 27. Nurse Practitioners, Physician Assistants, Nurse Midwives, Hygienists: $25,000 or 75% of outstanding debt
  • Critical Access Hospital Assessment
    • AB 770, passed April 2010
    • 28. Allocates $250,000/year to supplement HPLAP
    • 29. Physicians in a rural HPSA can receive up to a $50,000 supplement; potential maximum of $100,000
    • 30. Physicians in rural, non-HPSA can receive $50,000
  • Current HPLAP Award Funds
    State HPLAP Budget $445,500
    (Indian Gaming Funds)
    Federal State Loan Repayment Grant $300,000
    Hospital Assessment $250,000
    Total Annual Award Funds $995,500
  • 31. HPLAP Recipients
  • 32. The Road To Making
    A Rural Doctor
    Primary Care reimbursement, good colleagues,
    call schedules, continuing ed.,
    good schools, etc)
    Loan Repayment (NHSC and HPLAP)
    Med School:
    WI Academy of Rural Medicine (WARM)
    Rural Residencies
    and Rotations
    Undergrad programs
    (Eg: RUSCH*)
    Health & Science Camps,
    Career Day, Mentoring
    Community
    Scholarships
    & encouragement
    Peds patient
    * The aim of RUSCH is to select and nurture undergraduates who come from diverse backgrounds and show an interest in practicing medicine in rural and urban underserved areas of the state.
  • 33. Thank You
    John Eich, Director
    Wisconsin Office of Rural Health
    University of Wisconsin School of Medicine and Public Health
    eich@wisc.edu
    HPLAP Program Manager: Kevin Jacobson
    kmjacobson2@wisc.edu